FORM 1023-EZ for MULTICENTER ORTHOPEDIC STUDY GROUPINC
| Field | Data |
|---|---|
| EIN | 82-2141879 |
| Case Number | EO-2021181-000419 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MULTICENTER ORTHOPEDIC STUDY GROUPINC |
| Organization’s Mailing Address | 16192 COASTAL HIGHWAY |
| City | LEWES |
| State | DE |
| ZIP | 19958 |
| Accounting period End | 12 |
| Primary contact name | DOMINIC CARREIRA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DOMINIC CARREIRA
CHARIMAN
784 MIDDLE RIVER DRIVE
LAUDERDALE FL 33304
Officer/Director/Trustee Two
GARY HYMAN
VICE CHAIRMAN
200 PATEWOOD DR SUITE C-100
GREENVILLE SC 29615
Officer/Director/Trustee Three
GEOFFREY VAN THIEL
TREASURER
324 ROXBURY ROAD
ROCKFORD IL 61107
Officer/Director/Trustee Four
KIRK MCCULLOUGH
SECRETARY
3651 COLLEGE BLVD SUITE 100A
LEAWOOD KS 66211
Officer/Director/Trustee Five
ANIMESH RAVANI
DIRECTOR
1016 W JACKSON BLVD SUITE 509
CHICAGO IL 60607
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/2/2017 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H9B - Surgery Research |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | GEOFFREY VAN THIEL |
| Signature Title | TREASURER |
| Signature Date | 6/28/2021 |
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